Laserfiche WebLink
' �+ uouv!lcaa�canculvC nGuwuuu .uy, ,n uoo•t413).504-&ouu a ibViSlieutnAve,Nt,butte101 •tbotnell,wA 98011 •(206)481-9200 <br /> a M' U N(WA L ❑ 819 Sinker Ave,Suite 8•Sacramento,CA 9 (916)921-9600 ❑ East 11115 Montgomery,Suite B•Spokane,WA 99206• 24-9200` <br /> Ch1900 Bates Ave,Suite LM•Concord,CA 9452P- 510)686-9600 ❑ 15055 S W Sequoia Pkwy,Suite 110•Portland,OR 97222•(503}624 9800 <br /> Company NamePra ect Name <br /> 1 Zo <br /> Address c,/ �`�,,�! / c�% UNOCAL Pro ect Manager <br /> City y, State` C Zip Code Release <br /> Telephone lir if�l - FAX# >/ �'%� Site# t1 / , ,' `� %G � c , ` �' t J �r� % �r/ <br /> r <br /> r U <br /> Re ort To -�-' �` Sam ler ,� t' QC Data -�! Level D (Standard) ❑ Level C ❑ Level B ❑ Level A <br /> Turnaround_x'10 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water lAnalyses Requested <br /> Time ❑ 2 Work Das ❑ 1 Work Da ❑ 2-8 Hours ❑ Waste Water iy <br /> CODE ❑ Misc ❑ Detect ❑ Eval 1,yRemed ❑ Demo] ❑ Closure ❑ OtherI, <br /> Client Date/Time Matrix #of Cont Laboratory ��%)' <br /> Sample I D Sampled Desc Cont Type Sample# Comments <br /> o <br /> yy / ,� 0 <br /> 2 f 7r�� -27 �/iU,�i �I1 - <br /> 3 Cz <br /> 4 <br /> _o <br /> 5 <br /> } <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> a <br /> 10 0 <br /> ro <br /> cG <br /> Relinquished By Dat G 17 Time: ' Received B �y �' �'� r J <br /> /� Date _ Time /%�r <br /> Relinquished By C- rt/;— I r Date r�Time Received By (Date Time <br /> Relinquished BV Date Time Received Bv LabDate r Time <br /> Were Samples Received in Good Condition?0 Yes 0 No Samples on Ice? 0 Yes 0 No Method of Shipment S 4 Page /,Of <br /> To be completed upon receipt of report <br /> 4 1) Were the analyses requested on the Chain of Custody reported' ❑Yes 0 No If no,what analyses are still needed? <br /> 2) Was the report issued within the requested turnaround time? 0 Yes 0 No If no,what was the turnaround time? <br /> 7 ' Approved by Signature Company Date <br />